Individual
DR. KRISTIN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
100 GLEN COVE AVE, GLEN COVE, NY 11542-2818
(516) 609-2000
Mailing address
1961 DECATUR AVE, NORTH BELLMORE, NY 11710-1507
(631) 838-9611
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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